Pancho - RAM-GUA-56

Code: RAM-GUA-56
Mercy ID: V-00164-01
Encounter Date: 04/05/2000
Last: Ramirez
First: Guadalupe
DOB: 09/30/1956
County: Dekalb
Street: 1917 Meanville Dr
City: Chamblee
State: GA

Zip

30341-

Home

(770) 457-7130

Family Status

Single adult

COB

Mexico

Gender

Female

Housing

Not Homeless

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: J. Manzo
Data Entry: D. Gomez